Provider Demographics
NPI:1871036608
Name:TODYS, DANIELLE M (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:TODYS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 652
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0652
Mailing Address - Country:US
Mailing Address - Phone:704-233-3434
Mailing Address - Fax:704-464-4774
Practice Address - Street 1:402 LANE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5456
Practice Address - Country:US
Practice Address - Phone:704-233-3434
Practice Address - Fax:704-464-4774
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1707103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist